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About Myomectomy

This information is intended for general information only and should not be considered as medical advice on the part of Health-Tourism.com. Any decision on medical treatments, after-care or recovery should be done solely upon proper consultation and advice of a qualified physician.

What is Myomectomy?
Myomectomy is a surgical procedure in which fibroids are removed from the uterus wall.

Gonadotropin Releasing Hormone Analogue (GnRH-a) therapy may be used before myomectomy to reduce the size of the fibroids. This helps in reducing blood loss during a surgery. The GnRH-a therapy decreases the estrogen amounts in the body.

What are the different methods of performing Myomectomy?
Myomectomy may be performed by various surgical methods; choosing the method depends on the size, number and location of the fibroids.

Hysteroscopy
Fibroids that are located on the inner wall of the uterus but have not grown deep into the wall of the uterus is removed by hysteroscopy. A hysteroscope is inserted through the cervix into the uterus and the fibroids are removed.

Laparoscopy
Fibroids that measure approximately 2 inches and are located outside the uterus is removed by laparoscopy. This method uses a laparoscope which is inserted through a small abdominal incision and the fibroids are located and removed.

Laparotomy
Fibroids that are large in size or those that have grown deep into the wall of the uterus are removed by laparotomy. This is the traditional method of performing a myomectomy. During a laparotomy, a full abdominal incision is made horizontally or vertically. A few incisions are made in the muscles of the uterus and the fibroid is removed.

How to prepare for Myomectomy?

The patient may be required to go through a hormone treatment 2 to 6 months before myomectomy to reduce the size of the fibroids.

The patient needs to go through a thorough physical examination.

The doctor should be informed if the patient is:

Taking any medication

Allergic to any medication

Treated for any pelvic, uterine, cervical or vaginal infection 6 weeks prior to the procedure.

Suffering from heart or lung ailments

Pregnant

Arrangements should be made for someone to drive the patient home.

Days admitted : - Hysteroscopy: is done as an outpatient procedure.- Laparoscopy: may be done as an outpatient procedure. However, sometimes patients may require a stay of 1 day in the hospital. - Laparotomy: 1 to 4 days at the hospital

Anesthesia : General Anesthesia

Recovery : - Patients will be able to recover in a couple of weeks after myomectomy using laparoscopy and hysteroscopy. - Patients who have had a laparotomy may need 4 to 6 weeks to recover.- Patients’ symptoms of bleeding and pain caused by fibroids are cured after myomectomy. - In many cases of patients with the problem of infertility, chances of pregnancy are known to be improved after myomectomy.

Risks : Risks involved in myomectomy are rare. They include:- Infection- Bleeding- Uterine wall weakening- Risks of anesthesia- Severe bleeding that may lead to the removal of the whole uterus- Uterine scarring may lead to infertility- Rupture of uterine scars during pregnancy and delivery

After care : - The patient should follow the doctor’s instructions carefully. - Patients trying to get pregnant may try to conceive 4 to 6 months after myomectomy because fibroids may grow back later. - Patients may be required to do a hysterosalpingogram 4 months after myomectomy.